Organization
ASPEN ORAL AND FACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE C KANG MD, DMD (PRESIDENT)
(720) 990-0381
Entity
Organization
Contact information
Practice address
671 MITCHELL WAY, SUITE 100, ERIE, CO 80516
(720) 990-0381
Mailing address
671 MITCHELL WAY SUITE 100, ERIE, CO 80516
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
202361
CO
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
55871
CO
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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